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HomeMy WebLinkAboutSwan Lake Club_13000190112000 _ 18313_Shoreland Permits_OTTER TAIL COUNT Land & Resource Management Phone (218) 998-8095 PERMIT TYPE Lot Alteration Permit PERMIT NUMBER 8714 PROPERTY OWNER Swan Lake Club Inc LAKE INFORMATION Swan DNR ID(S)781 LOCATION Parcel(s): 13000190112000 Township Name: Dane Prairie Township Property Address(es): 18313 INTERLAKEN LN Section/Township/Range: Sect-19 Twp-132 Range-042 Legal; 29.64 AC PT G.L. 3 (REC BK 203 PG 486)EX TRS WORK AUTHORIZED Fill approximately 4300sqft of low area with an average depth of 1.5' using pit run material. Top dress filled area with black dirt. Extend existing drainage pipe at the same elevation to maintain previously approved outlet. Repair old building site after Demo of existing dwelling. Install proper erosion control measures between lake and project area prior to starting work. Kyle Westergard 11/19/2019 11:32 AM f8e6c2218d3ac371 b2ffcb195b17e8dc f6ec07c58cf56696bfbfe888e41a50dd 11/19/2019 11/19/2020 Land and Resource Management Official/Date ISSUE DATE DATE EXPIRES NOTE: This permit must be placed in a conspicuous place not more than 6 feet above grade on the premises on which work is to be done, and must be maintained there until completion of such work. If the terms of this permit are violated, the entire permit may be revoked and the owner/contractor may be subject to legal prosecution. Property Owner is legally responsible for all surface water drainage which may occur. Topographical Alteration projects shall be stabilized within 10 days of the completion unless otherwise stated. Timelines as set forth in Section IV.3.D of the Shoreland Management Ordinance shall be adhered to. Notify Land & Resource Management when job is ready for inspection (218) 998-8095. 11/19/2019https://onegov.co.ottertail.mn.us/admst/viewcard.php?card=3&app=8682 https://onegov.co.ottertail.imi.us/view.php?login&id=8682Land & Resource Permit Applications Land & Resource Management Government Services Center 540 Fir Avenue West Feiigus Falls MN 56537 Phone: 218-998-8095OTTER TflII0 o a ft T V - a I e a 11 o T « Site Permit Appiications Lot Alteration Permit App. # 521, UiD # 8682 Applicant Information Applicant Information;Name: Mark Alan Jacobs Phone; (218 )770 - 1739 Email Address mjacobs ncl@hotmail.com Mailing Address 21356 CoUwy 22 21356 CoHwy 22 Fergus Falls MN 56537 ContractorI am the: Is this Lot Alteration Permit Application for Multiple Properties? No Contactor's License Number and Business Name (Contractor's Business Name:north country lawns Property Owner's Contact Information Properly Owner Contact Information: Name; Chuck MacFarlan Phone; (218 ) 770 -8971 Email Address cmacfor1ane@ottertail.com Mailing Address union Ave fergus foils MN 56537 Property Information Project Location:Primary Name/AddressLegal DescriptionProperty Attributes Property Address Primary Address Line 1 CityCityLegal Description Legal Description NameParcel #Property Address Legal Description FERGUS FALLSPTG.L. 3(REC BK 203 PG 486) EXTRS SWAN LAKE CLUB 22343 SWAN LAKE RD1300019011200018313 INTERLAKEN LN FERGUS FALLS 29.64 AC N INC Lot Area:1291118 Square Feet Is this lot alteration permit part of a site permit application? Shoreland Information Associated Lakes:DNRID Lake Class LR CDLake Name Swan 781 RD 56-781 Water Frontage:100 Feet j. Bluff: Proposed Project Fill low areas as described on planProject Type:FHI Project Description: Area to be Cut/Excayated 0 FeetTotal Cubic Yards: 0 Length:Length:OFeet Width:0 Feet Average Depth:0 Feet 0 Feet0 Feet Width:Width:0 Feet Average Depth;0 Feet Total Cubic Yards: 0 Length; 0 Feet Total Cubic Yards: 0Average Depth: 11/18/2019, 1:15 PM1 of4 https://onegov.co.ottertail.mn.us/view.php?login&id=8682Land & Resource Permit Applications Walk-Out Basement Project 0 Feet0 Feet 0 Feet Average Depth;Length;Width; Area to be filled/Leveled 233 Please Describe Filled/Leveled Area: Total Cubic Yards;100 Feet Width:42 Feet Average Depth:1.5 FeetLength;area next to, ROW 0 Feet0 Feet Total Cubic Yards:0 Length;Length:0 Feet Width:0 Feet Average Depth: 0 Feet Total Cubic Yards: 00 Feet A\«rage Depth;Width: Backfill at Foundation 0 Feet Backfill Total:00 Feet Average Depth:Linear Length:0 Feet Average Width: Total Earth Moving Request 233 Cubic YardsTotal Earthmoving Request: Culvert and Road Authority Culvert? Road Authority Approval:No Impervious Surface - Buildings 0 Square FeetDwelling Proposed: Attached Garage Proposed: 0 Square Feet Detached Garage Proposed: 0 Square Feet 0 Square Feet - Water Oriented Accessory 0 Square Feet Structure Proposed: 1209 Square Feet 0 Square Feet 576 Square Feet 0 Square Feet 0 Square Feet Dwelling Existing; Attached Garage Existing: Detached Garage Existing: Storage Shed Existing:Storage Shed Proposed: Water Oriented Accessory Structure Existing; Recreational Camping Unit Proposed: 0 Square FeetRecreational Camping Unit Existing: 0 Square Feet 0 Square Feet' 0 Square Feet Miscellaneous Proposed:Miscellaneous Existing: 0 Square Feet 1785 Square FeetTotal Building Existing Impervious: Total Building Proposed Impervious; 0 Square Feet1785 Square Feet Total Building Proposed Impervious: Total Building Existing Impervious: Total Building Impervious Surface; 1785 Square Feet Impervious Surface Calculation - Buildings 1785 Square FeetTotal Building Existing Impervious: Total Building Proposed Impervious: 0 Square Feet Total Building Impervious Surface; 1785 Square Feet 1291118 Square FeetLot Area: Impervious Sur^ce Ratio:0.0014 Buildings Impervious Surface Percentage: 0.14 % Impervious Surface - Other Deck(s) Existing:0 Square Feet .0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet Parking Area(s) Proposed: 0 Square Feet Retaining Wall(s) Proposed; 0 Square Feet 0 Square Feet 0 Square Feet Total Other Proposed Impervious: 0 Square Feet 0 Square Feet Deck(s) Proposed: 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet Patio(s) Proposed:Patio(s) Existing: Sidewalk(s) Proposed:Sidewalk(s) Existing: Landing(s) Proposed:Landing(s) Existing; Driveway(s) Existing;Driveway(s) Proposed; Parking Area(s) Existing; Retaining Wall(s) Existing; Landscaping Existing; Landscaping Proposed: Miscellaneous Existing;Miscellaneous Proposed; Total Other Existing Impervious: Total Other Impervious Sur^ce:0 Impervious Surface Calculation - Buildings & Other Total Building Other Existing 1785 Square Feet Impervious: Total Building + Other Proposed 0 Square Feet Impervious; Total Building + Other Impervious 1785 Square Feet Surface: ■i; Lot Area;1291118 Square Feet Building Other Impervious Surtece Ratio; 0.0014 Building Other Impervious Surface Percentage; 0.14 % 11/18/2019, 1:15 PM-'2 of 4 ) https://onegov.co.ottertail.mn.us/view.php?login&id=8682Land & Resource Permit Applications Shore Impact Zone Impervious 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet Parking Area(s) Proposed: 0 Square Feet Retaining Wall(s) Proposed: 0 Square Feet 0 Square Feet 0 Square Feet Total Proposed Impervious in the 0 Square Feet Shore Impact Zone: Building(s) Proposed;0 Square FeetBuilding(s) Existing: Deck(s) Proposed:0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet Deck(s) Existing; Patlo(s) Proposed:Patio(s) Existing; Sidewalks(s) Proposed:Sidewalk(s) Existing: Landing(s) Proposed;Landing(s) Existing; Driveway(s) Proposed;Dhveway(s) Existing; Parking Area(s) Existing: Retaining Wall(s) Existing: Landscaping Proposed;Landscaping Existing: Miscellaneous Proposed:Miscellaneous Existing: Total Existing lmper\flOus in the Shore Impact Zone; Total Impervious in the Shore Impact Zone: 0 Square Feet Documentation File 1: ^ MacFarlane_plan.pdfPLEASE NOTE PROPOSED PROJECT AREA MUST BE STAKED Documentation: Total Impeivous Sur^ce to Determine Fee; 0 Square Feet 233 Cubic YardsTotal Earthmov^ng Request to Detenoine Fee: Applicant Approval Applicant Signature: Mark Jacobs 11/16/2019 I understand that checking this box constitutes a legal signature Date Signed; Please check to approve; Attention:Kyje Impervious less than 25%Comments: Terms Notes. The lot lines and project area(s) must be identified & staked onsite. If project disturbs more than 1 acre of land, you must obtain a General Storm Water Permit from the MPCA. Agreement I hereby certify that the information contained herein is correct and agree to do the proposed work In accordance with the description abo\« set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I forther agree that any plans and specifications submitted herewith shall become a part of this permit application. Once Permit is approved, I also understand that this permit is valid for twelve (12) months from the date of approval unless otherwise indicated on permit. Invoice #6520 (11/18/20191 TotalCostQuantityCharge Grand Total $0.00Total $0.00Due Approvals SignatureApproval Emma Barry -11/18/2019 1:08 PM34afbflbfe9549600f4b46691f6bc2bd 0fe55137e02f92966269cfb42cbaf23a #1 Received and Assigned #2 Permit Review #3 Permit Review #4 Permit Issuance Public Notes Text: File(s):;- Internal Notes Text: File(s)::-■j 11/18/2019, 1:15 PM3 of 4 https://onegov.co.ottertail.mn.us/view.php?login&id=8682Land & Resource Permit Applications V- tr!ntVte>¥ ; 11/18/2019, 1:15 PM4 of 4 GRAVEL ROAD FENCEcn-%isr I'2’iwGRAVEL drivewayI ' I J-i COLLECTION AREA WILL NOT RLL 20'5” —50*1-5/5”5T5-V2” 1675--^/5” I 3700 5Q. FT.WAT^ COLi£CTION OARAOE;24’ Area to fill 114’5-1/4” 130’-V2”55’9-3/4”::t P1REVI0U5LY FILLED AREAI4263 50. FT.1 OARAOE \1 _iii 9920 50, FT. IS6 sa FT.T7SS6 sa ft.59’3-V4” DRAIN TILE TO CONTROL WATER LEVEL 4” DRAIN TILE 109’5"CHUCK HY5L0P TOM HY5L0P 5WAN LAKE White - Office Yellow — Owner Pink — Assessor Goldenrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 - Fergus Falls, Mn. 56537 APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY4 Permit No„LEGAL DateDESCRIPTION 3kAND LOCATION /Ph /pLa.<'L<^QS^O-— *^U-v\u Lake No.Sec.Lake Name Lake Classif.Range TWP NameTWP IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address— No. Street. City and State Tel. No.Zip No. rrsOwner +A y NameContractor Architect Name. TYPE OF IMPROVEMENT: (i-FtJew^ilding ( ) Alteration RESIDENTIAL PROPOSED USE: (v-fOne Family Dwelling ( ) Multiple Dwelling ( ) Other NON-RESIDENTIAL PROPOSED USE: Specify:. Units ( )Other Size ESTIMATED COST OF IMPROVEMEN (omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL:DIMENSIONS: ( ) Masonry (v+1/5o^ Frame ( ) Structural Steel ( ) Other — Specify ( ) Public ( LMndividual Septic Tank, etc. WATER SUPPLY: ( ) Public (.J--lTTdividual Well MECHANICAL EQUIPMENT : Elevator: ( ) Yes Air Conditioning: ( ) Yes _________( ) Central Basement: ( iFYtS ( ) No Stories above basement: Sq. feet (outside dimension) Bedrooms ...../.-^s5T<?. Baths .....s^. HEATING: ( ) Electric ( ) Coal Other: Type of Roof:( ) No ( ) Oil( ) Gas ( ) None( ) No ( ) Unit ^ z6-€_ ^ /'Ajijai- (SialU /■S'o K <3 "CHARACTERISTICS: Lot Area is square feet.Water frontage is feet. (Building Line) feet feet. Building set back from high water mark is Land height above high water mark at building line is Building set back from State highway is....................... Side yard is Building will be located Building will be located feet — from road or street is feet. and feet. Rear yard is feet from septic tank (Sewage System Permit must be obtained before installation), feet from soil absorption system (Cesspool, Drainfield, etc.). feet. /i ,=P O Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Otter Tail County, Minnesota. I further agree that shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. plans and specifications submitted herewith Dated. Signature of Owner Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon thePermit: express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said ordinances. Shoreland Management Official 'A.Dated 1^0AY>0Permit Fee $.State Surc)iarge $. Comments: Form No. MKL-0771-002 ^ VtCTM WIIKla A «•.. MHIftM. PtMtU* FMXB. «tMH.158899 White - Office Yellow — Owner Pink — ^ssessor Goldenrod — Inspector SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 — Fergus Falls, Mn. 56537 APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCYV Permit No„LEGAL Date.DESCRIPTION AND LOCATION Lake No.Lake Name Lake Classif.Sec.TWP Range TWP Name IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address— No. Street. City and State Zip No.Tel. No. Owner NameContractor Architect Name. TYPE OF IMPROVEMENT:RESIDENTIAL PROPOSED USE:NON-RESIDENTIAL PROPOSED USE: I ) New Building ( ) Aiteration ( ) One Family Dwelling ( ) Multipie Dwelling Specify:, Units ( ) Other ( ) Other Size ESTIMATED COST OF IMPROVEMENT $(omit cents) PRINCIPAL TYPE OF FRAME:TYPE OF SEWAGE DISPOSAL;DIMENSIONS: ( ) Masonry ( ) Wood Frame ( ) Structural Steel ( ) Other — Specify ( ) Public ( ) individuai Septic Tank, etc. WATER SUPPLY: ( ) Public ( ) individuai Weii MECHANICAL EQUIPMENT ; Elevator: ( ) Yes Air Conditioning: ( ) Yes ( ) Centrai Basement: ( ) Yes ( ) No Stories above basement: Sq. feet (outside dimension) Bedrooms Baths HEATING: ( ) Electric ( ) Gas ( ) Coal Other: Type of Roof:( ) No ( ) Oil ( ) No ( ) None { ) Unit ,CiCHARACTERISTICS: Lot Area is square feet.Water frontage is, feet. (Building Line) ...............................feet feet.I Building set back from high water mark is................... Land height above high water mark at buiiding line is Building set back from State highway is........................ Side yard is.................... Building wiii be iocated Buiiding wiil be iocated feet — from road or street is feet. and .......................................feet. Rear yard is feet from septic tank (Sewage System Permit must be obtained before installation), feet from soii absorption system (Cesspooi, Drainfieid, etc.). feet. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Otter Taii County, Minnesota. I further agree that any pians and specifications submitted herewith shaii become a part of this permit application. I aiso understand that this permit is vaiid for a period of six (6) months. Dated. Signature of Owner Permission is hereby granted to the above named appiicant to perform the work described in the above statement. This permit is granted upon thePermit: express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon vioiation of said ordinances. Dated Shoreiand Management Officiai Permit Fee $.State Surcharge $. Comments: —6 ' Form No. MKL-0771-002 @ VI«TtR UHlCtll 4 M.. MiraM. FCMUt rM.L«. HMIN.158899 INSPECTOR'S CHECK LIST Make all measurements and computations ACTUALIS X MINIMUM Shall Bejr Sq. Ft Lot Area (Square feet)Sq. Ft.Sq. Ft. / 90Water Frontage Ft.Ft. 9Building Set Back from High Water Mark Ft.Ft. Building Set Back from State Highway Ft.50 Ft. Building Set Back from Street or Road 40 Ft.Ft. Side Yard &&Ft.Ft. /00±Rear Yard Ft.Ft. Occupied Building to Septic Tank Ft.10 Ft. Occupied Building to Absorption System Ft.20 Ft. Elevation at Building Line above High Water Mark_____________Ft.3 Ft. c-ccro rInspector's Comments: “7 0 -c Ox Inspector's Signature 7 Title Inspection Dated 1 Agency VICTOI LUNBICH 4 M . BRIHTCAt. fCRAUI FALL*. HIHN. GRID PLOT PLAN SKETCHING FORMfeet/inches.Scale: Each grid equals Application for Building Permit Dated Application for Sewage System Permit Dated .19. .19 Sewage System Permit Number.Building Permit Number. Applicant agrees that this plot plan is a part of application (s) indicated above. -L-l. 19____Dated.3Signature i i jrr'-1 Is-i-1-+ +4'^+ tT .4-+ n1 ■h i- i ■4- t - ! 4 t T .IT J- -4 + t -h 1..... TT !4 I 1 -t -;4-1 i - 4 !u tI i 4-; t i 'I -r 159104 Q VICTOa UlNDCeH 4 CO.. MINTEM. FCM«U» rM.t.1.MKU-0871-029